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i. <br />�p�,. <br />�°.�.',.. . .. <br />-.:.r�; . : <br />'feY'"�'��.5.,=, i:(i' . <br />a <br />�'r'; . r. , . � <br />i1'a � E•.�. <br />'�". 4.. <br />Z,.r,/_,s-y>_y,r-C- - L <br />.!% _ y , � � � .% � 3� ����I ����1 <br />.y��..l.t.v,4 <br />� 1V. D. bbin <--]600—$F.Co.-6-:6�21 � . <br />City of Everett :�Water Department <br />APPLIC'A�TION FOR WATE�R <br />Ail blanlcs must uc filled in or crossed out <br />B�•erett...._... ��.��_S.' ......... .................132...... <br />TO TH� SUPERINTCNDENT OF Tlili NATF.R DF.PARTMBNT: <br />CITY OF EVEl2liTT: <br />I hm•eby npply for t.�e use of �vater in nccard�ree �•�iH� !Li• ��','�� '�. � rek�- <br />Iations of the ��'ater Depnrtmeut, tor purposes nnd tix:�res :�::.ted L�iox�. <br />During the time thnt nny ot the rvntcr muins may Le tnken up by reneon <br />of nny improcements authorized by the CitS• of Gveret�c, in or nf nny slreet or <br />nlley in �vhich they may hnce 6cen laid, lhe City will not Le required to furnish <br />wnter durin�r the progress of such imP*ocementv to any con�umer wLose supply <br />mny thus u� cut utf, or be liable for nnS damnges far its fuilnre so to do. <br />APP>ication <br />No......�.�. <br />�� ; •' 1 <br />�2.....�_I...... Lo,�t ....,.....I....'..............__._...... Add I.:.,....u.1._."..'_`_..`...-.Ll ..... <br />.c).J�W..."".'�(..J ...................Strnet �' <br />Tl�c work to 6e executed bY........_ ........................ .... .._............ ..........Plumber <br />S�tc s�ze of tnp. �/� 0� � �l�tn� <br />� � 2 <br />....Z......Tnp to be msertcd m the mmn. <br />......_�..-...Natcr closet <br />......_�...Bath ' . <br />. <br />..._'.'..-..Unnn1 <br />...�.-.......Plain fnucet inside � � <br />........�::..Sidc wnik wnshcr � <br />..../...........Hose bib outsidc �,' � ' � ' ' <br />...._�.:....Iiose biL for building purposes �/i � <br />.....L:....iiosc bib inside �,�. <br />...._`�...Bib for stablc conluining ....................stall.................... <br />..._L:=..A'umber ot persons in fnmily <br />...�.......Numbcr ot romns in building <br />The premises are to be used ns n........__.. .. .. .. __ ...__._ __t._-�,_,,.,...,, <br />The owner of the premises is.._�..... _. .�......���.��,_ ............... <br />?hc ngent is ...................................................................................................................... <br />This npplicntion, nithouqti signed, :hnll not be binding upon the City, until <br />�, !ed by thc Superintpndent of the �\' • epnrtment. <br />yyy�/n /J • <br />Signed../�...�.�21�J...1...1�.,......... _.... . .,./ .... Appltcaat <br />j........... <br />�a_5a3_—.���'"..192...._✓ Dy .. ... ......... <br />......... ................................ <br />� perintendent <br />J <br />� } �J}� �' <br />. <br />�� ,n��, <br />fI, - , A��+��..�". <br />... � t \r ,1.�!'Y . . �., <br />